EP20EOc
Culture of Safety EP20EO
Provide three nurse-sensitive clinical quality indicators for all eligible ambulatory care settings. Data provided must reflect the most recent eight consecutive and complete quarters of ambulatory care setting graphed data to demonstrate outperformance of the benchmark provided by the vendor’s national database or at the highest available level.
At least two of the ambulatory nurse-sensitive clinical quality indicators presented must be nationally benchmarked.
- An explanation must be included for how the selected clinical indicator is nurse sensitive in the organization.
- An explanation must be included describing the benchmark used if there is no national benchmark.
- There may be no more than two decimal places presented, in addition there may be no rounding applied.
Example c: Door to Percutaneous Intervention
Median time in minutes to percutaneous coronary intervention (PCI) is a nurse sensitive clinical indicator at Catholic Health Initiatives (CHI) St. Vincent Hot Springs (SVHS) in the Emergency Department (ED) as a nurse is there to assess and triage the patients when they come into the ED. The nurse communicates to the licensed independent providers (LIP) the urgency of the patient's symptoms. The nurse receives the orders from the LIP to immediately delegate and/or place the intravenous line/s (IV), provide medications, obtain blood work, obtain electrocardiograms (EKG), and call the Cardiac Catheterization Lab team to prepare for the patient coming to them for immediate PCI.
(Evidence EP20EOc-1, CHI SVHS Median Time in Minutes to PCI, Ambulatory Graph)